2929 PINE ST 2020-12-23 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WAS H INGTO N (P)426-267-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2929 Pine Street PROPERTY TAX#:00439069503200 LEGAL for new construction: Short Plat/subdivisfon Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kaiser Permanente TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTa5ET2715 Neches Ave SW crry Renton STATE WA ZIP 98057 OWNER PHONE:206-630-3905 OWNER EMAIL: Iauren.a.hilger@kp.org CONTRACTOR NAME: NorthStar CG, LP CONTRACTOR ADDRESS: STREET8160 304th Ave SE m Issaquah STATE WA ZIP 98027 CONTRACTOR PHONE: 425-881-0623 CONTRACTOR EMAIL:jSChUSter@n0rthStar.COm CONTRACTOR LICENSE#(REQUIRED): northcl852jc CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 44505 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-510-2594 • John Schuster CONTACT EMAIL: jschuster@northstar.com - BUILDING INFORMATION Existing Use of Building:abandon Contract Price of Work:$37k _ _ Proposed Use of Building: demo Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR DTownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project [New ❑Addition ❑Remodel ❑Repair ❑T.I. ElSign ❑Sprinkler ®Demolition ❑Change of Use DESCRIPTION OF WORK: building being levelled. ASSOCIATED BUILDING PERMIT#(if applicable): ' MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture list of Fixtures "`B List of Fixtures Fixture List of Fixtures FixtureList of Fixtures Count Count Count Count NC—Air Handling Units Gas Piping Backflow Preventer Inside Bldg) Shower,Tub,or Combo Boller Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) ^ Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventiletior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type 11) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) - Forced Air Systems ,Other. Medical Gas _Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.orHeads Chemical Suppression System 1 No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein Is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approoved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by the owner of this property to perform the work for which application Is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only f7T,ItIonuk _... co s Owner/Author' ant stgnaitire Date (Revised 10/10/2018) /2_,